By Robert Kalimi MD, L. Penfield Faber MD
This designated case-based evaluate of thoracic surgical procedure bargains very good training for oral board examinations, which emphasize either basic wisdom and case administration. Written by means of well-known specialists, the publication offers quite a few situations protecting the total spectrum of thoracic surgical illnesses. every one case starts with the medical presentation and proceeds to X-ray file, differential analysis, CT experiment record, prognosis and suggestion, surgical technique, consequence, and dialogue. X-rays, CT scans, bronchoscopic images, and different correct illustrations accompany the textual content. a few instances contain postoperative issues and dialogue of the factors, assessment, and administration of those problems.
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Additional resources for Clinical Scenarios in Thoracic Surgery: A Case Study Approach (Clinical Scenarios in Surgery Series)
Arterial blood gases showed only mild hypoxaemia and hypercapnia and cor pulmonale was not a prominent clinical feature. A decrease in lung elastic recoil and a severely impaired diffusing capacity for carbon monoxide reﬂected the severe underlying emphysema. The typical patient with predominant bronchitis was described as overweight, if not obese, with plethoric facies and obvious cyanosis. Chronic cough and sputum production were considered an essential feature of the bronchitic subtype. The other prominent aspects of the bronchitis patient were severe hypoxaemia, an accompanying hypercapnia, and consequent to the deranged blood gases, cor pulmonale and polycythaemia.
The relation between structural changes in small airways and pulmonary function tests. N Engl J Med 1978;298:1277–81. 24 van de Woestijne KP. Are the small airways really quiet? Eur J Respir Dis 1982;63(Suppl 121):19–25. 25 Hoppin FG Jr, Green M, Morgan MS. Relationship of central and peripheral resistance to lung volume in dogs. J Appl Physiol: Respirat Environ Exercise Physiol 1978;44:728–37. 26 Kappos AD, Rodarte JR, Lai-Fook JS. Frequency dependence and partitioning of respiratory impedance in dogs.
Pulmonary mechanoreceptors respond to mechanical stimuli that are distributed throughout the respiratory system (airway and lung parenchyma). g. irritants such as dust or smoke) and mechanical stimuli that can cause broncho-constriction. Pulmonary stretch receptors in the airways respond to lung inﬂation. C-ﬁbres (unmyelinated nerve endings) located in the alveolar wall and blood vessels are stimulated by interstitial congestion. The corresponding afferent pathways of these mechanoreceptors project to the brain via the vagal nerve.
Clinical Scenarios in Thoracic Surgery: A Case Study Approach (Clinical Scenarios in Surgery Series) by Robert Kalimi MD, L. Penfield Faber MD